Chronic conditions and work
Chronic conditions refer to diseases and health conditions that last a long time and generally progress slowly. Although they can occur at any age, they become more common later in life. They are often invisible, sometimes episodic (i.e. they come and go) and often characterized by fluctuating symptoms that leave people disabled one day and functional the next. Examples of chronic diseases include arthritis, diabetes, chronic pain, depression and fibromyalgia. IWH research in this area focuses on the effects of chronic disease on work participation and productivity, as well as the effectiveness of job accommodations, benefits and other programs to ensure workers with chronic disease can stay at, or return to, work.
Featured
Impact case study
Dorcas Beaton: How a passion for MSD outcome measures made a difference in the world of work and beyond
Sometimes, an IWH scientist’s work impacts go beyond the work and health field. That is the case for Dr. Dorcas Beaton, retired IWH senior scientist whose expertise developed through work and health research spread to the broader field of clinical health outcomes.
Published: August 7, 2026
Research Highlights
Nearly half of workers with disabilities hide impact of health condition on work
The decision to not disclose and the decision to actively hide information about the impact of a health condition on work are distinct. This study explores how often people hide health information at the workplace, who is likely to do so, or what the impacts may be.
Published: August 5, 2026
Impact case study
Dorcas Beaton: How a passion for MSD outcome measures made a difference in the world of work and beyond
Sometimes, an IWH scientist’s work impacts go beyond the work and health field. That is the case for Dr. Dorcas Beaton, retired IWH senior scientist whose expertise developed through work and health research spread to the broader field of clinical health outcomes. Her career focused on the measurement of upper extremity musculoskeletal disorders (MDSs)—notably, the widely used DASH Outcome Measure—and the adoption of common outcomes in rheumatology treatment and research.
Published: August 2026
Research Highlights
Nearly half of workers with disabilities hide impact of health condition on work
The decision to not disclose and the decision to actively hide information about the impact of a health condition on work are distinct. This study explores how often people hide health information at the workplace, who is likely to do so, or what the impacts may be.
Published: August 2026
Journal article
Journal article
Talking about health at work: a qualitative study of worker disclosures to co-workers
Published: Disability and Rehabilitation, July 2026
Journal article
Journal article
Do gender and chronic or episodic disability type moderate the relationship between support availability, perceived workplace support towards disclosure and job disruptions?
Published: Journal of Occupational Rehabilitation, April 2026
Journal article
Journal article
Working with a chronic health condition: is choosing not to disclose the same as hiding information?
Published: Journal of Occupational Rehabilitation, April 2026
Journal article
Journal article
Income after cancer across gender and age among Canadian adolescents and young adults
Published: Journal of the National Cancer Institute, January 2026
Journal article
Journal article
Ten years of ECHO chronic pain and opioid stewardship in Ontario: impact and future directions
Published: Healthcare, December 2025
Impact case study
Word spreads about IWH tools, thanks to stakeholders' support
Since the release of two tools designed to support the sustained employment of people with chronic and episodic conditions, word has spread quickly to new audiences who have learned about and adopted them. That's thanks to organizations that promoted the tools and helped them reach the hands of workers, employers and post-secondary students who are about to move forward in the labour market.
Published: October 2025
At Work article
IWH knowledge transfer and exchange approach a ‘perfect fit’ for episodic disabilities project
Researchers and knowledge transfer and exchange (KTE) staff at the Institute for Work & Health (IWH) put a lot of focus on how to tap into partner expertise to refine research goals and facilitate the sharing and uptake of research findings. What does that look like in practice? This article illustrates how a seven-year partnership project used IWH’s approach to KTE to develop and share usable outputs from the research findings.
Published: September 2025
Journal article
Journal article
The Job Demands and Accommodation Planning Tool (JDAPT): a nine-month evaluation of use, changes in self-efficacy, presenteeism, and absenteeism in workers with chronic and episodic disabilities
Published: Journal of Occupational Rehabilitation, September 2025